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Iowa rates for HCPCS L2492

Addition to knee joint, lift loop for drop lock ring

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $72.44 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $162.18 / $204.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $134.90 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $147.91 / $616.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $74.13 / $204.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $131.83 / $173.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $75.86 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $57.54 / $109.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $112.20 / $112.20